146 lines
16 KiB
HTML
146 lines
16 KiB
HTML
<form action="https://hmsamh.dhms.in:443/Lab_Admin/report_update" role="form" class="form1" method="post" accept-charset="utf-8">
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<input type="hidden" name="csrf_dst_name" value="1c34e977f5692048771e8072a361355f" style="display:none;" />
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<div class="box">
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<div class="box-header">
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<h3 class="box-title">Report Edit</h3>
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<div class="pull-right box-tools">
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<button type="button" class="btn btn-default btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse">
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<i class="fa fa-minus"></i></button>
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</div>
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</div>
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<!-- /.box-header -->
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<div class="box-body" >
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<div class="row">
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<div class="col-md-12">
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<div class="form-group">
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<label>Report Name</label>
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<input class="form-control" id="input_Reportname" name="input_Reportname" placeholder="Report Name" type="text" value="Absolute Eosinophil Count" />
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<input type="hidden" id="repo_id" value="32">
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label>Attach Charge Name</label>
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<select class="form-control" id="charge_id" name="charge_id" >
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<option value="0" >No Attach</option><option value=3413 ></option><option value=427 Selected >Absolute Eosinophil count</option><option value=3323 >ACE LEVEL</option><option value=424 >ACID PHOSPHATASE TOTAL</option><option value=423 >ACTH</option><option value=3273 >Adhesiolysis</option><option value=420 >ALDOSTERONE</option><option value=419 >ALDOSTONE/RENIN</option><option value=418 >Alhpa Fetoprotein</option><option value=416 >ALLERGY PROFILE</option><option value=415 >AMH</option><option value=414 >ANA</option><option value=413 >ANTI CCP ANTIBODY</option><option value=412 >ANTIPHOSPHOLIPID ANTIBODY IgG, IgM</option><option value=3124 >B N P</option><option value=3481 >biochemical</option><option value=402 >Biopsy (Uterus)</option><option value=2979 >Biopsy Charge</option><option value=401 >Biopsy from Thigh</option><option value=3414 >BIOPSY- HARNIYA</option><option value=400 >BLEEDING TIME (ivys)</option><option value=3559 >BLOOD CROSS MATCHING</option><option value=399 >BLOOD CULTURE</option><option value=394 >Blood Sugar by Glucometer Stick</option><option value=3378 >BNP</option><option value=391 >Bone biopsy</option><option value=389 >Bone Marrow smear exmination</option><option value=3392 >C1 FUNCTION INHIBITOR</option><option value=3391 >C1 QUTATITON</option><option value=3377 >C3 and C4 Compliment</option><option value=3390 >C4</option><option value=385 >CA-125</option><option value=384 >CARDIOLIPIN IgA,IgM</option><option value=383 >CARDIOLIPIN IgG</option><option value=3441 >CBC RE- MICROSCOPY</option><option value=381 >CEA</option><option value=379 >CHIKUNGUNYA PCR</option><option value=3530 >Cholesterol</option><option value=378 >CLOTTING TIME (Lee & White)</option><option value=377 >Cortisol Evening</option><option value=376 >Cortisol Morning</option><option value=3494 >Covid 19 - Antigen Test</option><option value=373 >CSF& S.PRO.ELEC./OLIGO. BAND</option><option value=372 >CULTURE</option><option value=371 >Cytology of Breast fluid</option><option value=370 >Cytology of Pleural fluid</option><option value=369 >CYTOPATHOLOGY ( FLUID)</option><option value=3482 >D-DIMER</option><option value=365 >DHEA</option><option value=364 >DHEA SULPHATE</option><option value=363 >DIGOXIN</option><option value=361 >DUAL MARKER</option><option value=360 >EAR SWAB RT CULTURE</option><option value=359 >EBV IgM Test</option><option value=3567 >ESR</option><option value=357 >Estradiol (E2)</option><option value=355 >FACTOR IX</option><option value=354 >FACTOR VIII</option><option value=353 >Fasting Insulin</option><option value=352 >Ferritin</option><option value=3462 >FO/C LEVEL </option><option value=350 >Folic Acid</option><option value=349 >Free Testosteron</option><option value=3573 >FT3FT4</option><option value=3574 >FT4</option><option value=348 >Fungal Stain</option><option value=347 >Fungus Culture</option><option value=342 >Glucose Tolerance Test (GTT)</option><option value=340 >GROWTH HORMONE</option><option value=2983 >H</option><option value=339 >HAV IGM</option><option value=338 >HB ELECTROPHORESIS</option><option value=334 >HDL CHOLESTEROL</option><option value=332 >HEPATITIS E ANTIBODY (IgM)</option><option value=331 >HEPATITIS E BOTH(IgG+IgM)</option><option value=330 >HEPATITIS E IgG</option><option value=329 >HISTOPATHOLOGY (APPENDIX)</option><option value=328 >HISTOPATHOLOGY (BILATERAL OVARY)</option><option value=327 >HISTOPATHOLOGY (CYST FROM ABDOMEN)</option><option value=326 >HISTOPATHOLOGY (FROM GLUTEAL REGION)</option><option value=325 >HISTOPATHOLOGY (PANHYSTERECTOMY)</option><option value=324 >HISTOPATHOLOGY (PUNCH BIOPSY FROM SIGMOID GROWTH)</option><option value=323 >Histopathology (T.O Mass)</option><option value=322 >HISTOPATHOLOGY (THYROID)</option><option value=321 >Histopathology(Biopsy from Finger)</option><option value=320 >Histopathology(Biopsy from Gluteal growth)</option><option value=319 >Histopathology(Biopsy from hand)</option><option value=318 >Histopathology(Breast lump)</option><option value=317 >Histopathology(Cervical growth)</option><option value=316 >Histopathology(Cyst from back)</option><option value=315 >Histopathology(Endometrial Biopsy)</option><option value=314 >Histopathology(Fibroid)</option><option value=313 >Histopathology(Gall Bladder)</option><option value=312 >Histopathology(Left & Right Fellopian tube )</option><option value=311 >Histopathology(Non healing ulcer from leg)</option><option value=310 >Histopathology(Ovarian tissue)</option><option value=309 >Histopathology(Panhysterectomy)</option><option value=308 >Histopathology(Parotid tissue)</option><option value=307 >Histopathology(Prostate)</option><option value=306 >Histopathology(Punch biopsy from retro sigmoid growth)</option><option value=305 >Histopathology(Right Ovarian Cyst)</option><option value=304 >Histopathology(Soft tissue from right hip joint)</option><option value=303 >Histopathology(Soft Tissue mass)</option><option value=302 >Histopathology(Speciman of Skin)</option><option value=301 >Histopathology(Uterus , cervix both side tube & ovary)</option><option value=300 >Histopathology(Uterus with cervix)</option><option value=299 >Histopathology(Uterus, cervix with one sided tube & ovaries)</option><option value=298 >Histopathology(vulval growth)</option><option value=297 >Histopathology(with tube & ovary Uterus, cervix)</option><option value=296 >Histopathology*(Spine vertebrae T7- T8)</option><option value=293 >HLAB 27</option><option value=292 >HOMOCYSTEINE QUAN.SERUM</option><option value=3572 >HPLC FOR B. THALASEMIA</option><option value=3163 >Iron Profile</option><option value=288 >Karyotyping</option><option value=3068 >KETONE</option><option value=3449 >KFT 1</option><option value=285 >LAPTOSPIRA</option><option value=284 >LDL CHOLESTROL</option><option value=281 >LITHIUM</option><option value=280 >LUPUS ANTICOAGULANT</option><option value=279 >MAGNESIUM</option><option value=272 >Megnisium</option><option value=271 >Mono Test</option><option value=3422 >Montex test </option><option value=269 >NASAL SWAB CUTURE</option><option value=268 >NCC</option><option value=267 >NEONATAL BILIRUBIN</option><option value=405 >No Item</option><option value=205 >O</option><option value=266 >occult blood</option><option value=3486 >OGTT</option><option value=3322 >OLIGOCLONAL BANDS (O C B S)</option><option value=204 >ORBIT</option><option value=265 >OSMOLARITY</option><option value=218 >OT</option><option value=252 >OY</option><option value=341 >P</option><option value=263 >PAP Smear</option><option value=3056 >PATHOLOGY </option><option value=3447 >PBS </option><option value=3581 >PCOS PROFILE ADVANSED</option><option value=3582 >PCOS PROFILE ADVANSED</option><option value=3483 >PCOS. PROFILE </option><option value=3410 >PERCUTANEOUS KIDNEY BIOPSY</option><option value=260 >PLASMA RENIN</option><option value=3540 >Post Bronchoscopy AFB Stain</option><option value=3551 >POST COITAL </option><option value=257 >PROCALCITONIN</option><option value=256 >PROTEIN ELECTROPHORESIS</option><option value=219 >PT</option><option value=253 >Pus Culture</option><option value=3575 >Pus Culture & Senstivity</option><option value=3529 >PUS CYTOLOGY</option><option value=3562 >PUS FOR AFB STAIN</option><option value=3583 >R A FACTOR (ABC)</option><option value=3497 >RANDAM URINE SUGAR</option><option value=3495 >RH Antibody titre</option><option value=3376 >Rota Virus</option><option value=246 >S. IRON PROFILE</option><option value=3566 >S.AMH</option><option value=3480 >S.B. HCG</option><option value=3464 >S.B12 level </option><option value=242 >SEMEN CULTURE</option><option value=3568 >Serum E2</option><option value=235 >Serum electrophoresis</option><option value=233 >Serum IGE Leval</option><option value=232 >Serum iron</option><option value=231 >SERUM LACTATE</option><option value=230 >SERUM LH</option><option value=228 >SERUM MYOGLOBIN</option><option value=2974 >SERUM TOP</option><option value=2975 >SERUM TPO </option><option value=3468 >serum urea</option><option value=220 >Skin Test</option><option value=3525 >SPOT URINE</option><option value=3576 >SPOT Urine albumin for Creatinine</option><option value=3416 >SPUTUM AFB STAIN</option><option value=3438 >sputum for afb stain 2</option><option value=3519 >SPUTUM FOR AFB STAIN 3</option><option value=3467 >SPUTUM GRAM STAIN </option><option value=217 >Stone Anaylasis</option><option value=216 >STOOL CULTURE</option><option value=212 >SWAB CULTURE & SENSITIVITY</option><option value=211 >Synovial Fluid Examination</option><option value=203 >TESTOSTERON</option><option value=202 >THROAT SWAB CULTURE</option><option value=201 >TIBC</option><option value=199 >TORCH IGG</option><option value=198 >TORCH IgG & IgM</option><option value=197 >TORCH IgM</option><option value=196 >TOTAL THYROID PANEL</option><option value=195 >TOTAL/HDL CHOLESTEROL RATIO</option><option value=194 >Tpo</option><option value=193 >TRECHEAL ASPIRATE</option><option value=192 >TRIPLE MARKER</option><option value=3397 >Umblical Hernia Repair, S No - 425</option><option value=186 >URINARY CREATININE</option><option value=185 >URINARY POTASSIUM</option><option value=184 >URINARY SODIUM</option><option value=183 >Urine Cotinine</option><option value=182 >URINE CULTURE & SENSITIVITY</option><option value=181 >urine for albumin</option><option value=179 >Urine for Microalbumin</option><option value=3461 >urine microscopy</option><option value=175 >Urine Protien to Creatinine Ratio</option><option value=173 >URINE SUGAR FASTING</option><option value=172 >URINE SUGAR PP</option><option value=170 >uterus</option><option value=171 >uterus</option><option value=3463 >V B12 level </option><option value=169 >V L D L CHOLESTROL</option><option value=167 >Vaginal smear Examination</option><option value=166 >VAGINAL SWAB CULTURE</option><option value=165 >VALPROIC ACID,VLAPROATE</option><option value=3586 >VDRL</option><option value=164 >Velparic Acid</option><option value=3558 >Vitamin D</option><option value=3415 >Vitamin D3</option><option value=161 >WEEL FELIX TEST</option><option value=3065 >YU</option> </select>
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label>Group</label>
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<select class="form-control" id="group_id" name="group_id" >
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<option value=1 >BIO CHEMISTRY</option><option value=2 >Biopsy</option><option value=3 >CLINICAL PATHOLOGY</option><option value=4 >MICRO BIOLOGY</option><option value=5 >General</option><option value=6 Selected >HAEMATOLOGY</option><option value=8 >Urine</option><option value=9 >Fluid Examination</option><option value=10 >CYTO-PATHOLOGY</option><option value=11 >HISTOPATHOLOGY</option><option value=12 >IMMUNOLOGY-SEROLOGY</option><option value=13 >ENDOCRINOLOGY</option><option value=15 ></option> </select>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-12">
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<textarea id='HTMLData' name="HTMLData" placeholder="Place some text here">
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<table border="0" cellpadding="0" cellspacing="0" style="height:26px; width:635px">
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<tbody>
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<tr>
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<td style="background-color:#bfbfbf"><strong>Test Name</strong></td>
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<td style="background-color:#bfbfbf; text-align:center"><strong>Result</strong></td>
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<td style="background-color:#bfbfbf"><strong>Unit</strong></td>
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<td style="background-color:#bfbfbf"><strong>Bio.Ref. Interval</strong></td>
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<td style="background-color:#bfbfbf"><strong>Method</strong></td>
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</tr>
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<tr>
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<td>Absolute Eosinophil Count</td>
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<td>{AEOSIN}</td>
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<td>per cu mm</td>
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<td>40-440</td>
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<td>MICROSCOPIC EXAMINATION</td>
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</tr>
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</tbody>
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</table>
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</textarea>
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<script>
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CKEDITOR.replace( 'HTMLData' );
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</script>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label></label>
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<button id="updatereport" type="button" class="btn btn-primary">Update</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="box">
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<div class="box-header">
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<h3 class="box-title">Report Parameter</h3>
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<div class="pull-right box-tools">
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<button type="button" class="btn btn-default btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse">
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<i class="fa fa-minus"></i></button>
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</div>
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</div>
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<!-- /.box-header -->
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<div class="box-body" >
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<div class="row">
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<div class="col-md-12">
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</div>
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</div>
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<div class="row">
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<div class="col-md-12">
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<button onclick="load_form_div('/Lab_Admin/report_test_list/32','test_div');" type="button" class="btn btn-primary">Test List</button>
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</div>
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</div>
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</div>
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</div>
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</form>
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<script>
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$('#updatereport').click(function(){
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var repo_id = $('#repo_id').val();
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var input_Reportname = $('#input_Reportname').val();
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var charge_id=$('#charge_id').val();
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var group_id=$('#group_id').val();
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var HTMLData=CKEDITOR.instances.HTMLData.getData();
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var csrf_value=$('input[name=csrf_dst_name]').val();
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if(repo_id>0)
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{
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$.post('/index.php/Lab_Admin/report_update',{
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"repo_id": repo_id,
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"input_Reportname": input_Reportname,
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"charge_id":charge_id,
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"group_id":group_id,
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"HTMLData":HTMLData,
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'csrf_dst_name':csrf_value
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}, function(data){
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$('#msgshow').html(data.showcontent);
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$("#alert_show").alert();
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$("#alert_show").fadeTo(5000, 500).slideUp(500, function(){
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$("#alert_show").slideUp(500);
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});
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}, 'json');
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}else{
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$.post('/index.php/Lab_Admin/report_insert',{
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"repo_id": repo_id,
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"input_Reportname": input_Reportname,
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"charge_id":charge_id,
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"group_id":group_id,
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"HTMLData":HTMLData,
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'csrf_dst_name':csrf_value
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}, function(data){
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$('#msgshow').html(data.showcontent);
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$("#alert_show").alert();
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$("#alert_show").fadeTo(5000, 500).slideUp(500, function(){
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$("#alert_show").slideUp(500);
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});
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if(data.insertid>0)
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{
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load_form('/Lab_Admin/report_list');
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}
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}, 'json');
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}
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});
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</script> |